2026-2027 Actual Complete Real Exam Questions
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What are some Assessment findings for MAS? - ANSWER-
Meconium - stained amniotic fluid (Greenish)
Meconium visualized below the vocal cords
Greenish or yellowish discoloration of the skin, nail beds, and
umbilical cord
Low Apgar scores
Signs of respiratory distress
** Don't stimulate baby
What Nursing actions do we take if a child has MAS? -
ANSWER-sessment of
neonate (Respiratory distress, cyanosis,
discoloration of skin)
Administer oxygen as
ordered
Maintain pulse
oximetry
Assist with suctioning if
warranted
Monitor blood glucose as
ordered
,Maintain a neutral thermal
environment
Inform parents of
condition
What are the doctors responsibilities for a newborn with
MAS? - ANSWER-
Suctioning both the orno pharnx and
trachopharnx
May do arterial blood gasses or chest X ray, Blood Glucose
monitoring, O2
therapy, Surfactant Therapy, and antibiotics to treat
the pneumonia
Define TTNB - ANSWER-Transient Tachypena of the Newborn
Mild, Self limiting disorder of term and near-term infants lasting
12 to greater than 72 hours
Fluid filled lungs that is more commonly seen in Cesarean
births, prolonged labor, and macrosomia
What are some Symptoms of TTNB?
What are some actions that a nurse would take - ANSWER-
Retractions ;
Grunting; Cyanosis
Administering oxygen as warranted
Ensuring warmth
Observing respiratory status
,Understanding that this is a benign condition and time will
allow fluid to be removed
Define Hypoglycemia in a newborn - ANSWER-Common in large
for gestation age (LGA) babies, diabetic mothers, small for
gestational age (SGA) babies, and preterm babies
Fetus is exposed to increase amount of glucose if mother is
diabetic. The fetus in return produces high levels of insulin
At birth the newborn's glucose level is 70% - 80% that of the
mother
After removal of the placenta, the newborn must maintain
glucose homeostasis
Hypoglycemia during the first few hours of life can
be transient
What are some risk factors for hypoglycemia
newborns? - ANSWER-
Hypothermia
Infection
Birth Trauma
What are some S& S. of Hypoglycemia in newborns? -
ANSWER-Blood glucose
< 40 mg/dL (normal is 40- 80)
Poor Feedings
Jitteriness
Lethargy/ Hypotonia
Apnea
High-pitched cry or weak cry
, Cyanosis and seizures
Who are considered high risk newborns for developing or
already having
Hypoglycemia? - ANSWER-Screened within 90 minutes of Birth
<37 weeks gestation
SGA or IUGR <10th
percentile in wt. Low Birth
Weight <2500 gm LGA >90th
percentile in wt.
5 Minute APGAR <5
Infant of Diabetic mother
Hypothermic babies
Infection/septic
What are some nursing actions in treating a newborn with
hypoglycemia? - ANSWER-Check Blood glucose within 30 - 60
after birth ( LGA, SGA, Preme,
Diabetic mom)
And will continue to check the Blood Glucose every 1 hour after
So what do you we do if it is low? You need to feed the baby
(Formula 15ml and is after Breastfeeding)
Recheck baby after feeding to see if it has gone up
Maintain a neturothermic enviorment (keep
baby warm)
Avoid
infection